Abstract:
A system comprises processing circuitry and memory comprising program instructions that, when executed by the processing circuitry, cause the processing circuitry to: apply a first set of rules to first patient parameter data for a first determination of whether sudden cardiac arrest of a patient is detected; determine that a one or more context criteria of the first determination are satisfied; and in response to satisfaction of the context criteria, apply a second set of rules to second patient parameter data for a second determination of whether sudden cardiac arrest of the patient is detected. At least the second set of rules comprises a machine learning model, and the second patient parameter data comprises at least one patient parameter that is not included in the first patient parameter data.
Abstract:
Example techniques, systems, and devices select one or more portions of EGM signal data for presentation based on an identified cardiac episode type of the EGM signal data. For example, one or more processors are configured to receive cardiac electrogram (EGM) signal data collected from a medical device associated with a patient. The EGM signal data may include a detected cardiac episode identified as one of a plurality of episode types. The one or more processors may also be configured to select, based on the identified one of the plurality of episode types, one or more portions of the EGM signal data associated with the detected cardiac episode, and output the selected one or more portions of the EGM signal data.
Abstract:
An implantable medical device (IMD) identifies suspected non-lethal ventricular arrhythmia, and takes one or more actions in response to the identification to avoid or delay delivery of a defibrillation or cardioversion shock. The IMD employs number of intervals to detect (NID) thresholds for detection of ventricular arrhythmias. When a NID threshold is met, the IMD determines whether the ventricular rhythm is a suspected non-lethal rhythm despite satisfying a NID threshold. In some embodiments, the IMD increases the NID threshold, i.e., extends the time for detection, in response to identifying a rhythm as a suspected non-lethal rhythm, and monitors subsequent ventricular beats to determine if the increased NID threshold is met before detecting a ventricular arrhythmia and delivering therapy. The IMD can determine whether a rhythm is a suspected non-lethal arrhythmia by, for example, comparing the median ventricular cycle length (VCL) to the median atrial cycle length (ACL).
Abstract:
Techniques are described for initiating a change to rules used by a medical device to identify a plurality of episodes based on a determination that an amount of the plurality of episodes classified as a classification for which transmission of the episode data from the medical device to the computing device was unnecessary satisfies at least one criterion.
Abstract:
Example devices, systems, and techniques are disclosed for providing guidance of a treatment of a patient. An example device includes processing circuitry and memory comprising instructions that, when executed by the processing circuitry, cause the processing circuitry to determine that a device detected an acute health event of a patient or delivery of cardiopulmonary resuscitation to the patient, and analyze sensed patient data in response to the determination. The instructions cause the processing circuitry to provide information for guidance of a treatment of the patient based on the analysis.
Abstract:
Techniques for transmitting diagnostic information stored in an implantable medical device (IMD) based on patient hospitalization are described. For example, the IMD may transmit higher resolution diagnostic information to a clinician and/or an external device during a hospitalization period to aid the clinician in evaluating heart failure treatment and when discharge is proper. This higher resolution diagnostic information may include one or more patient metrics automatically generated and transmitted by the IMD at least once every two hours. During a post-hospitalization period, the IMD may transmit lower resolution diagnostic information to a clinician that indicates a risk level of re-hospitalization. The lower resolution diagnostic information may include the risk level and/or patient metrics once a day, for example. In this manner, the IMD transmitted diagnostic information may be tailored to the specific heart failure monitoring needed by the patient.
Abstract:
A system comprising processing circuitry configured to receive a wirelessly-transmitted message from a medical device, the message indicating that the medical device detected an acute health event of the patient. In response to the message, the processing circuitry is configured to determine a location of the patient, determine an alert area based on the location of the patient, and control transmission of an alert of the acute heath event of the patient to any one or more computing devices of one or more potential responders within the alert area.
Abstract:
Devices, systems, and techniques are disclosed for determining the likelihood that a cardiac event will self-terminate. An example technique includes determining, by processing circuitry and based on current sensed physiological parameters of a patient, that a cardiac event is occurring in the patient. The example technique includes determining, by the processing circuitry- and based on the current sensed physiological parameters of the patient, that the cardiac event is unlikely to self-terminate within a predetermined period of time. The example technique includes, in response to determining that the cardiac event is unlikely- to self-terminate, deliver therapy to the patient or issue an alert.
Abstract:
A device comprising a computer-readable medium having executable instructions stored thereon, configured to be executable by processing circuitry for causing the processing circuitry to: determine that a patient is experiencing or has experienced an acute health event; cause a motor to move a robotic device to a location proximate the patient; cause a sensor of the robotic device to gather physiological data from the patient; confirm that the patient is experiencing or has experienced the acute health event based on the physiological data; and generate an output in response to confirming that the patient is experiencing or has experienced the acute health event.
Abstract:
This disclosure is directed to systems and techniques for detecting change in patient health and if a change in patient health is detected, direct a medical device to generate for display output indicating the detection of the change in patient health. An example medical system or technique applies a model to values of configurable settings that are programmed into detection logic of a medical device; based on the application, determine whether modified values of the configurable settings, when implemented by the detection logic, would change a determination, by the medical device, regarding whether sensed physiological activity is indicative of cardiac episode for a patient; and in response to a determination that the modified values would change the determination regarding whether the sensed physiological activity is indicative of the cardiac episode for the patient, generate output data indicative of the modified values for the configurable settings for the medical device.